Golyana Sergey Ivanovich

Position: Deputy Chief Physician for Reconstructive and Plastic Surgery, Department Head – Orthopedic Traumatologist, Plastic Surgeon, Orthopedic Traumatologist

Clinic: Children’s department of MMC MEDSI on Michurinsky Prospekt/MEDSI Clinic on Marat

Work experience: 37 years.

Specialization:

• Surgical treatment of congenital pathology of the hand, forearm, upper limb and foot in children (patients under 18 years of age) and adults:
• Syndactyly fingers and feet:
  • Simple and complex forms – congenital soft tissue and bone fusion of the fingers
• Polydactyly and polyphalangia of the hands and feet:
  • Congenital doubling, tripling of fingers
• «Mirror brush» (ulnar dimelia):
  • Congenital doubling of the hand and forearm
• First finger tryphalangism:
  • Congenital increase in the length of the 1st finger due to the presence of the middle phalanx, violation of its position
    and function
• Ectrosyndactyly of the hands and feet:
  • Congenital finger stumps, their fuses
• Congenital upper and lower limb constriction syndrome
• Simbrachydactyly (brachydactyly):
  • Shortening and fusion of fingers and feet
  • Including in the composition of Poland syndrome – underdevelopment of the pectoral muscle
• Adactyly:
  • Congenital absence of fingers
• Ectromelia:
  • Congenital shortening and underdevelopment of the upper limb, hand and fingers
• Finger hypoplasia:
  • Shortening or absence of metacarpals and phalanges of fingers and feet
• Brachymetacarpy and brachymetatarsia:
  • Shortening of the fingers and feet due to congenital underdevelopment of the metacarpal (metatarsal) bones
• Radioulnar synostosis:
  • No rotational hand movements
  • Congenital fusion of forearm bones
• Radial and ulnar obliquity:
  • Missing or underdeveloped radius or ulna and fingers
• Brachioradial synostosis:
  • Congenital absence of elbow joint
  • Shortening and underdevelopment of the upper limb, hand and fingers
• Clinodactyly:
  • Congenital or acquired deformity (curvature) of finger and foot phalanges
• Delta phalanges of fingers and feet:
  • Congenital deformity (reshaping) of the metacarpals, metatarsals and phalanges of the fingers
• Camptodactyly:
  • Congenital flexion contracture of the fingers
• Gigantism of hands and feet:
  • Congenital increase in volume and length of fingers and feet or upper and lower extremities
• Splitting of hands and feet:
  • Congenital deformity associated with the absence or underdevelopment of the central fingers,
    the presence of transverse phalanges, deep cleft hand or foot
• Consequences of injury to the hand and forearm, upper and lower extremities:
  • Various deformities of bones, joints, scars
• Hand and finger disorders
• Consequences of damage to the tendons of the upper extremity, hand and fingers
• Consequence of nerve damage of the upper limb:
  • Impaired sensation and movement
• Neurogenic finger and hand contractures
• Consequences of hematogenous osteomyelitis and other bone and soft tissue inflammatory processes of the extremities:
  • Bone deformities and defects, scarring, limb dysfunction
• Finger stenosing ligamentitis (Knott’s disease)
• Carpal tunnel syndrome
• Bone and soft tissue benign neoplasms of the upper and lower extremities
• Post-traumatic limb defects and deformities
• Scarring and contractures of the joints of the fingers and limbs
• Post-traumatic movement disorder or ankylosis (no movement) of upper extremity joints
• Traumatic amputation of fingers and hands
• Post-burn deformities:
  • Skin scars
  • Joint contractures
  • Impaired movement and function of the upper and lower extremities
• Consequences of electrotrauma (electric burn) of the upper extremities:
  • Injuries to tendon nerves and limb muscles
  • Finger and hand contractures
• Other variants of congenital and acquired pathology of the upper limb and foot in children and adults
• Reconstructive limb microsurgery:
  • Grafting your toes onto your hand
  • Treatment with local, combined skin grafts (split and full skin autograft transplants) and vascular pedicle skin grafts:
    • Cutaneous scars
    • Soft tissue deformities and defects
  • Microsurgical transplantation of blood-supplied (vascular pedicle) bone autografts:
    • Fibula
    • Metatarsal
    • Edge fragment
    • Blade fragment
    • Radial bone fragment
  • Microsurgical grafting of a foot joint onto a hand or upper limb
  • Flexor tendon repair and extensor finger and hand (suture and plastic)
  • Recovery:
    • Peripheral nerves of the extremities (suture and plastic with transplantation of nerve fragments)
    • Vessels (arteries)
• Various bone and joint surgeries:
  • Corrective osteotomy to eliminate deformities
  • Resection of exostoses, osteophytes
• Bone grafting in bone defects and nonunions:
  • False joint
  • Enchondroma
  • Bone cysts
  • Others
• Elongation, shortening, correction of deformations using compression-distraction devices:
  • Ilizarov method
• Arthrolysis, arthrodesis, repair of the ligamentous apparatus of the joints of the hand
• Elbow replacement
• Other upper and lower limb surgical reconstructive procedures